The Government of Kenya's Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25
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{"title"=>"The Government of Kenya's cash transfer program reduces the risk of sexual debut among young people age 15-25", "type"=>"journal", "authors"=>[{"first_name"=>"Sudhanshu", "last_name"=>"Handa", "scopus_author_id"=>"7202809788"}, {"first_name"=>"Carolyn Tucker", "last_name"=>"Halpern", "scopus_author_id"=>"7005230521"}, {"first_name"=>"Audrey", "last_name"=>"Pettifor", "scopus_author_id"=>"13605334000"}, {"first_name"=>"Harsha", "last_name"=>"Thirumurthy", "scopus_author_id"=>"24559254500"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84897856454", "doi"=>"10.1371/journal.pone.0085473", "pui"=>"372838245", "issn"=>"19326203", "pmid"=>"24454875", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "scopus"=>"2-s2.0-84897856454"}, "id"=>"05622954-3f6f-344d-b504-e6bc851270c1", "abstract"=>"The aim of this study is to assess whether the Government of Kenya's Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007-2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. We revisited these households in 2011 and collected information on sexual activity among individuals between 15-25 years of age. We used logistic regression, adjusted for the respondent's age, sex and relationship to caregiver, the age, sex and schooling of the caregiver and whether or not the household lived in Nairobi at baseline, to compare rates of sexual debut among young people living in program households with those living in control households who had not yet entered the program. Our results, adjusted for these covariates, show that the program reduced the odds of sexual debut by 31 percent. There were no statistically significant effects on secondary outcomes of behavioral risk such as condom use, number of partners and transactional sex. Since the CT-OVC provides cash to the caregiver and not to the child, and there are no explicit conditions associated with receipt, these impacts are indirect, and may have been achieved by keeping young people in school. Our results suggest that large-scale national social cash transfer programs with poverty alleviation objectives may have potential positive spillover benefits in terms of reducing HIV risk among young people in Eastern and Southern Africa.", "link"=>"http://www.mendeley.com/research/government-kenyas-cash-transfer-program-reduces-risk-sexual-debut-among-young-people-age-1525-12", "reader_count"=>89, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>4, "Student > Doctoral Student"=>10, "Researcher"=>13, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>7, "Student > Master"=>20, "Other"=>3, "Student > Bachelor"=>3, "Lecturer"=>4, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>4, "Student > Doctoral Student"=>10, "Researcher"=>13, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>7, "Student > Master"=>20, "Other"=>3, "Student > Bachelor"=>3, "Lecturer"=>4, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Nursing and Health Professions"=>5, "Mathematics"=>4, "Medicine and Dentistry"=>25, "Agricultural and Biological Sciences"=>3, "Arts and Humanities"=>3, "Business, Management and Accounting"=>1, "Psychology"=>4, "Social Sciences"=>30, "Computer Science"=>1, "Economics, Econometrics and Finance"=>5}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>25}, "Social Sciences"=>{"Social Sciences"=>30}, "Psychology"=>{"Psychology"=>4}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Mathematics"=>{"Mathematics"=>4}, "Unspecified"=>{"Unspecified"=>8}, "Arts and Humanities"=>{"Arts and Humanities"=>3}}, "reader_count_by_country"=>{"United States"=>1, "Italy"=>1, "United Kingdom"=>2, "South Africa"=>1, "Ethiopia"=>1}, "group_count"=>12}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1348139"], "description"=>"<p>Numbers are means with SD for continuous variables or sample size with % for binary variables. Last column shows p-value for difference in mean or proportion. Sample restricted to those who had not yet had sex at baseline.</p><p><sup>1</sup> 51 observations with missing values.</p>", "links"=>[], "tags"=>["Population biology", "epidemiology", "Infectious disease epidemiology", "Social epidemiology", "Infectious diseases", "Viral diseases", "hiv", "HIV epidemiology", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "anthropology", "Social anthropology", "Economics", "human capital", "Economics of poverty", "Health economics", "Sociology", "demography", "Sexual and gender issues", "social policy", "social welfare", "outcomes", "olds", "2011"], "article_id"=>901717, "categories"=>["Biological Sciences", "Medicine", "Sociology"], "users"=>["Sudhanshu Handa", "Carolyn Tucker Halpern", "Audrey Pettifor", "Harsha Thirumurthy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0085473.t003", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Summary_statistics_of_outcomes_for_young_people_15_8211_25_year_olds_in_2011_in_Kenya_/901717", "title"=>"Summary statistics of outcomes for young people 15–25 year olds in 2011 in Kenya.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-15 03:29:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/1348138"], "description"=>"<p>Each column is a logistic regression model estimated on individual data and the dependent variable equals 1 if respondent has had sex and 0 otherwise. Odds ratios (OR) for each independent variable reported in corresponding row. Sample restricted to those who had not yet had sex at baseline.</p>", "links"=>[], "tags"=>["Population biology", "epidemiology", "Infectious disease epidemiology", "Social epidemiology", "Infectious diseases", "Viral diseases", "hiv", "HIV epidemiology", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "anthropology", "Social anthropology", "Economics", "human capital", "Economics of poverty", "Health economics", "Sociology", "demography", "Sexual and gender issues", "social policy", "social welfare", "kenya", "ct-ovc", "males", "females", "years"], "article_id"=>901716, "categories"=>["Biological Sciences", "Medicine", "Sociology"], "users"=>["Sudhanshu Handa", "Carolyn Tucker Halpern", "Audrey Pettifor", "Harsha Thirumurthy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0085473.t004", "stats"=>{"downloads"=>3, "page_views"=>21, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Effect_of_Kenya_CT_OVC_on_sexual_debut_among_males_and_females_15_8211_25_years_in_2011_/901716", "title"=>"Effect of Kenya CT-OVC on sexual debut among males and females 15–25 years in 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-15 03:29:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/1348141"], "description"=>"<p>Program Details of the Kenya Cash Transfer for Orphans and Vulnerable Children.</p>", "links"=>[], "tags"=>["Population biology", "epidemiology", "Infectious disease epidemiology", "Social epidemiology", "Infectious diseases", "Viral diseases", "hiv", "HIV epidemiology", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "anthropology", "Social anthropology", "Economics", "human capital", "Economics of poverty", "Health economics", "Sociology", "demography", "Sexual and gender issues", "social policy", "social welfare", "details", "kenya", "orphans"], "article_id"=>901719, "categories"=>["Biological Sciences", "Medicine", "Sociology"], "users"=>["Sudhanshu Handa", "Carolyn Tucker Halpern", "Audrey Pettifor", "Harsha Thirumurthy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0085473.t001", "stats"=>{"downloads"=>2, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Program_Details_of_the_Kenya_Cash_Transfer_for_Orphans_and_Vulnerable_Children_/901719", "title"=>"Program Details of the Kenya Cash Transfer for Orphans and Vulnerable Children.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-15 03:29:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/1348142"], "description"=>"<div><p>The aim of this study is to assess whether the Government of Kenya's Cash Transfer for Orphans and Vulnerable Children (Kenya CT-OVC) can reduce the risk of HIV among young people by postponing sexual debut. The program provides an unconditional transfer of US$20 per month directly to the main caregiver in the household. An evaluation of the program was implemented in 2007–2009 in seven districts. Fourteen Locations were randomly assigned to receive the program and fourteen were assigned to a control arm. A sample of households was enrolled in the evaluation in 2007. We revisited these households in 2011 and collected information on sexual activity among individuals between 15–25 years of age. We used logistic regression, adjusted for the respondent's age, sex and relationship to caregiver, the age, sex and schooling of the caregiver and whether or not the household lived in Nairobi at baseline, to compare rates of sexual debut among young people living in program households with those living in control households who had not yet entered the program. Our results, adjusted for these covariates, show that the program reduced the odds of sexual debut by 31 percent. There were no statistically significant effects on secondary outcomes of behavioral risk such as condom use, number of partners and transactional sex. Since the CT-OVC provides cash to the caregiver and not to the child, and there are no explicit conditions associated with receipt, these impacts are indirect, and may have been achieved by keeping young people in school. Our results suggest that large-scale national social cash transfer programs with poverty alleviation objectives may have potential positive spillover benefits in terms of reducing HIV risk among young people in Eastern and Southern Africa.</p></div>", "links"=>[], "tags"=>["Population biology", "epidemiology", "Infectious disease epidemiology", "Social epidemiology", "Infectious diseases", "Viral diseases", "hiv", "HIV epidemiology", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "anthropology", "Social anthropology", "Economics", "human capital", "Economics of poverty", "Health economics", "Sociology", "demography", "Sexual and gender issues", "social policy", "social welfare"], "article_id"=>901720, "categories"=>["Biological Sciences", "Medicine", "Sociology"], "users"=>["Sudhanshu Handa", "Carolyn Tucker Halpern", "Audrey Pettifor", "Harsha Thirumurthy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0085473", "stats"=>{"downloads"=>5, "page_views"=>19, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_Government_of_Kenya_s_Cash_Transfer_Program_Reduces_the_Risk_of_Sexual_Debut_among_Young_People_Age_15_25_/901720", "title"=>"The Government of Kenya's Cash Transfer Program Reduces the Risk of Sexual Debut among Young People Age 15-25", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-15 03:29:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/1348140"], "description"=>"<p><sup>1</sup> Statistically significant (at 5%) differences of t-test between Treatment (T) and Control (C) within each wave shown in bold.</p>", "links"=>[], "tags"=>["Population biology", "epidemiology", "Infectious disease epidemiology", "Social epidemiology", "Infectious diseases", "Viral diseases", "hiv", "HIV epidemiology", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "anthropology", "Social anthropology", "Economics", "human capital", "Economics of poverty", "Health economics", "Sociology", "demography", "Sexual and gender issues", "social policy", "social welfare", "kenya", "ct-ovc"], "article_id"=>901718, "categories"=>["Biological Sciences", "Medicine", "Sociology"], "users"=>["Sudhanshu Handa", "Carolyn Tucker Halpern", "Audrey Pettifor", "Harsha Thirumurthy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0085473.t002", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mean_household_characteristics_in_Kenya_CT_OVC_evaluation_by_wave_and_intervention_status_/901718", "title"=>"Mean household characteristics in Kenya CT-OVC evaluation by wave and intervention status.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-15 03:29:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/1348137"], "description"=>"<p>Adjusted odds ratio (OR) calculated with a logistic model on individual data with independent variables that include treatment status, age and sex of respondent (full sample only), age, sex and education of household head and indicator for Nairobi residence. Sample restricted to individuals who had not yet had sex at baseline.</p><p><sup>1</sup> 51 missing observations for this outcome, 15 females and 36 males.</p>", "links"=>[], "tags"=>["Population biology", "epidemiology", "Infectious disease epidemiology", "Social epidemiology", "Infectious diseases", "Viral diseases", "hiv", "HIV epidemiology", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "anthropology", "Social anthropology", "Economics", "human capital", "Economics of poverty", "Health economics", "Sociology", "demography", "Sexual and gender issues", "social policy", "social welfare", "kenya", "ct-ovc", "outcomes", "individuals", "years", "2011"], "article_id"=>901715, "categories"=>["Biological Sciences", "Medicine", "Sociology"], "users"=>["Sudhanshu Handa", "Carolyn Tucker Halpern", "Audrey Pettifor", "Harsha Thirumurthy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0085473.t005", "stats"=>{"downloads"=>1, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Effect_of_Kenya_CT_OVC_on_other_sexual_outcomes_among_individuals_15_8211_25_years_in_2011_who_reported_sexual_debut_N_8202_8202_551_/901715", "title"=>"Effect of Kenya CT-OVC on other sexual outcomes among individuals 15–25 years in 2011 who reported sexual debut (N = 551).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-15 03:29:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/1348136"], "description"=>"<p>Overview of Study Design.</p>", "links"=>[], "tags"=>["Population biology", "epidemiology", "Infectious disease epidemiology", "Social epidemiology", "Infectious diseases", "Viral diseases", "hiv", "HIV epidemiology", "Non-clinical medicine", "Health care policy", "Child and adolescent health policy", "anthropology", "Social anthropology", "Economics", "human capital", "Economics of poverty", "Health economics", "Sociology", "demography", "Sexual and gender issues", "social policy", "social welfare"], "article_id"=>901714, "categories"=>["Biological Sciences", "Medicine", "Sociology"], "users"=>["Sudhanshu Handa", "Carolyn Tucker Halpern", "Audrey Pettifor", "Harsha Thirumurthy"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0085473.g001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Overview_of_Study_Design_/901714", "title"=>"Overview of Study Design.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-01-15 03:29:04"}

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Relative Metric

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